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Monoclonal Antibodies

Immunomodulation Therapy + Radiation for Metastatic Breast Cancer

Phase 1
Recruiting
Led By Fumito Ito
Research Sponsored by Roswell Park Cancer Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient must have lesion that can be biopsied and is willing to undergo the procedure as part of the protocol
The unresectable disease to be irradiated and injected with medications must be located in breast, dermal, subcutaneous, or soft tissue, or lymph nodes with the longest axis of the tumor 2-7 centimeters, and should be considered safe for injection by the investigator
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing a new immunotherapy treatment for breast cancer that has spread to other parts of the body. The treatment uses a combination of drugs and radiation therapy to kill tumor cells and stimulate the immune system.

Who is the study for?
This trial is for adults with certain advanced cancers (melanoma, SCC, Merkel cell carcinoma, sarcomas, HER2/neu(-) breast cancer) that can't be removed by surgery. Participants must have measurable disease and agree to receive injections of CDX-301, CDX-1140, poly-ICLC and radiation therapy. They should not have had recent heart issues or other invasive cancers in the last 3 years and must not be pregnant.Check my eligibility
What is being tested?
The trial tests a combination of radio-immunotherapy treatments including CDX-301 to boost immune cells called dendritic cells; radiation therapy to kill tumor cells; CDX-1140 and Poly-ICLC to activate the immune system against cancer. It aims to see how well these work together in treating patients with unresectable metastatic solid tumors.See study design
What are the potential side effects?
Possible side effects include reactions at injection sites, fatigue from radiation therapy, flu-like symptoms from Poly ICLC (fever/chills), potential activation of autoimmune diseases due to immune stimulation by CDX drugs.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am willing to have a biopsy of my lesion.
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My tumor is in the breast, skin, or lymph nodes, measures 2-7 cm, and can be safely injected.
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My cancer is advanced and cannot be surgically removed, with no cure available.
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My cancer has worsened despite previous treatments.
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I agree to receive injections of CDX-301, CDX-1140, and poly-ICLC.
Select...
I agree to undergo radiation therapy on my tumor.
Select...
I am fully active or can carry out light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of adverse events
Maximum tolerated dose or maximum administered dose
Secondary outcome measures
Changes in Immune signatures in the tumor microenvironment
Changes in the levels of PD-L1 expression
Changes in the levels of infiltrating CD4+ and CD8+ T cells
+1 more
Other outcome measures
Changes in the levels of peripheral blood (PB) biomarkers
Overall response rate (ORR)
Overall survival
+1 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Cohort B (immunomodulators, radiation therapy)Experimental Treatment4 Interventions
Patients receive recombinant Flt3 ligand IT on days 1-5 and undergo radiation therapy on day 8 or 9. Patients also receive agonistic anti-CD40 monoclonal antibody IT and IV over 90 minutes and Poly-ICLC IT on day 9 or 10. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.
Group II: Cohort A (immunomodulators, radiation therapy)Experimental Treatment4 Interventions
Patients receive recombinant Flt3 ligand IT on days 1-5 and undergo radiation therapy on day 8 or 9. Patients also receive agonistic anti-CD40 monoclonal antibody CDX-1140 IT and Poly-ICLC IT on day 9 or 10. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Poly ICLC
2014
Completed Phase 2
~270
Radiation Therapy
2017
Completed Phase 3
~7250
Recombinant Flt3 Ligand
2014
Completed Phase 2
~60

Find a Location

Who is running the clinical trial?

Roswell Park Cancer InstituteLead Sponsor
402 Previous Clinical Trials
30,789 Total Patients Enrolled
University of Southern CaliforniaLead Sponsor
906 Previous Clinical Trials
1,596,270 Total Patients Enrolled
Fumito ItoPrincipal InvestigatorRoswell Park Cancer Institute

Media Library

CDX-1140 (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04616248 — Phase 1
Squamous Cell Carcinoma Research Study Groups: Cohort A (immunomodulators, radiation therapy), Cohort B (immunomodulators, radiation therapy)
Squamous Cell Carcinoma Clinical Trial 2023: CDX-1140 Highlights & Side Effects. Trial Name: NCT04616248 — Phase 1
CDX-1140 (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04616248 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the typical purpose of administering Anti-CD40 Agonist Monoclonal Antibody CDX-1140?

"Combatting amino acid deficiency, dry eyes, and a decreased appetite can all be achieved by employing Anti-CD40 Agonist Monoclonal Antibody CDX-1140."

Answered by AI

Is this clinical trial a unprecedented endeavor?

"Since the first clinical trial in 2007, sponsored by Baxter Healthcare Corporation and involving 4640 participants, Anti-CD40 Agonist Monoclonal Antibody CDX-1140 has been studied extensively. After obtaining Phase 4 drug approval, 13 studies were conducted across 8 nations and 34 cities."

Answered by AI

To what extent is the population being studied in this medical experiment?

"Currently, this trial is not in need of participants. The initial posting for the study was on December 12th 2022 and it was last updated on November 14th 2022. For those searching for other studies related to breast cancer, 5203 clinical trials are actively seeking subjects while 13 trails involving Anti-CD40 Agonist Monoclonal Antibody CDX-1140 remain open at present."

Answered by AI

What findings have been reported from prior investigations of Anti-CD40 Agonist Monoclonal Antibody CDX-1140?

"Presently, there are 13 ongoing clinical trials investigating Anti-CD40 Agonist Monoclonal Antibody CDX-1140. One of those trails has reached Phase 3 status. This drug is predominantly being studied in Los Angeles, California; however, 55 distinct medical centres have active studies for the treatment."

Answered by AI

To what extent can Anti-CD40 Agonist Monoclonal Antibody CDX-1140 be detrimental to human health?

"The safety of Anti-CD40 Agonist Monoclonal Antibody CDX-1140 has been conservatively rated at 1 due to the limited evidence collected during its Phase 1 clinical trial."

Answered by AI

What is the intended outcome of this research endeavor?

"This study, to be assessed over a 30-day period, will measure the occurrence of adverse events. Other objectives include analysing changes in infiltrating myeloid cell subsets such as dendritic cells (DCs), macrophages and monocytes; PD-L1 expression within neoplastic and nonneoplastic stromal elements of the tumor microenvironment; and alterations to immune biomarkers from baseline until completion of therapy. The collected data on these parameters is expected to facilitate graphic representation using dot plots alongside means and standard errors for both overall sample sizes as well as individual treatment arms at various time points."

Answered by AI

Are new volunteers being recruited for this scientific trial?

"As of November 14th 2022, this clinical trial is not accepting any further candidates. Initially posted on December 12th 2022, the study has been closed off to new patients. However, there are still 5216 other medical trials open and actively recruiting subjects."

Answered by AI
~6 spots leftby Jan 2025